Family Care Partnership Care Coach

Profile

Description

Humana/iCare is seeking a Care Coach to join the growing Dane County team in the Family Care Partnership (FCP) program. The FCP Care Coach provides care management services through the FCP program including assessment, service plan development, ongoing care coordination, quality assurance and ongoing monitoring of services to adults with disabilities and the frail elderly. Share your talents and develop your skills all while doing your part to improve the lives of others.

Responsibilities

The FCP Care Coach works collaboratively with the Interdisciplinary Team (IDT) and other Partnership staff to assist members and their families with identifying service needs and gaining access to medical, social, rehabilitation, vocational, educational, and other services to achieve members' desired outcomes.

Essential Duties & Responsibilities:

Conduct psychosocial assessments as part of the comprehensive assessment process.

Utilize the Resource Allocation Decision making methodology (RAD), help member identify their preferred outcomes and potential strategies to achieve those outcomes, including through the identification of community resources and cost-effective services or equipment.

Coordinate and monitor services and resources implemented to meet member's identified outcomes and member's progress toward meeting those outcomes.

Conduct periodic reassessment and updates of the member's care plan and monitor member's health and safety.

Assist member or member's representative in filing complaints, grievances and obtaining advocacy services.

Document member information and contacts made regarding member's care and services provided.

Create documentation according to policy and procedure, workflows, audit requirements and time frames.

Build constructive working relationships with the member, their family members, and appropriate outside agency staff.

Facilitate collaboration with the member's physician or appropriate medical professionals to coordinate member's care.

Assist in problem resolution between member and providers.

Educate member and providers regarding benefits, service providers and protocols to access resources and the appropriate use of medical services. Provide referrals for community resources and social services as necessary.

Actively monitor member's ability and willingness to engage in treatment regimes, and problem solve with staff, member and providers to find alternatives or solutions to their needs.

Required Qualifications

Social Worker certified in WI, with a minimum of one (1) years' experience working with at least one of the target group populations OR a 4-year bachelor's degree or more advanced degree in the Human Service area and a minimum of one (1) years' experience working with at least one of the target populations, OR any 4-year bachelor's degree or more advanced degree in any area other than human services with a minimum three (3) years' experience working with at least one of the target group populations. The target group population is defined as: Frail Elders, Physically Disabled, or Intellectually/Developmentally Disabled.

Knowledge of the community resources available to meet the needs of the members and a thorough understanding of the range and type of long term care options available in the community.

Ability to travel to any location within Dane and Sauk Counties to conduct assessments within members' residences.

Previous experience working with Microsoft Outlook, Word, and Excel.

This role is considered patient facing and is a part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.

This role is a part of Humana's Driver Safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100,000/300,000/100,000 limits.

To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:

At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.

Satellite, cellular and microwave connection can be used only if approved by leadership.

Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.

Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.

Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Preferred Qualifications

Certification or Licensure in Social Work in the State of Wisconsin or be eligible for Certification and Licensure.

Previous managed care experience.

General knowledge of Medicaid and Medicare benefits.

Additional Information

Workstyle: Field. Field workstyle is defined as associates performing their core duties at one or more non-Humana/iCare locations.

Travel: up to 75% of the time throughout Dane and Sauk Counties

Typical Work Days/Hours: Monday through Friday; 8:30am - 5:00 pm (CST)

COVID-19 Vaccine Information: Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination, including COVID-19 boosters. Associates who remain unvaccinated must either undergo weekly negative COVID testing OR wear a mask at all times while in a Humana facility or while working in the field.

Interview Format

As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Social Security Alert

Humana Values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide a social security number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions to add the information into the application at Humana's secure website.

Scheduled Weekly Hours

40

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.

Company info

Humana Inc.
Website : http://www.humana.com